SHIBU JACOB ABRAHAM - Pharmacist License in Illinois | # 049132687

SHIBU JACOB ABRAHAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132687

License Status

NOT RENEWED

Business

N

First Name

SHIBU

Middle

JACOB

Last Name

ABRAHAM

Business Name

SHIBU JACOB ABRAHAM

Original Issue Date

09/14/2000

Effective Date

03/10/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012